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Roux-en-Y

Roux-en-Y is a gastric bypass surgery which is commonly performedto treat obesity. This is one of the most effective ways to get rid of excessweight. After the surgery, the patient will not be able to eat so much food asbefore, and so he/she will lose weight. In addition, in majority of cases, besides weight loss, cholesterollevel is reduced and high blood pressure is decreased. There are other caseswhen Roux-en-Y is performed, such as stomach cancer, injury or infection of thebile duct.

Procedure

The Roux-en-Y gastric bypass procedure includes reducing thesize of the stomach. The surgery can be laparoscopic which involves tiny cutsand a special medical instrument, laparoscope, with a small camera at the end, orit can be performed by making a large cut on the abdomen. In order to reducethe size of the stomach, the surgeon will create a pouch out of your stomachand attach in to the small intestine. This way the rest of the stomach andduodenum will be bypassed. Absorption of fat will be significantly reducedbecause duodenum has been avoided. The patient will need about four weeks torecover from the Roux-en-Y gastric surgery.

Complications

Diarrhea is a common complication of the Roux-en-Y gastricsurgery because the ability to absorb fat is reduced. One of thecomplications is dumping syndrome. If the food is digested too fast or if youhave taken a larger amount of food, it will reach the small intestine tooquickly. This can lead to diarrhea, vomiting, nausea, faintness, cramps and excessiveperspiration. There is also a risk of leakage where the stomach pouch and thesmall intestine were attached together. If this happens, you may get ulcer orstenosis. If you do not follow dietary instructions from your doctor, you maysuffer from nutritional deficiencies. After the Roux-en-Y gastric surgery youmay have bowel problems. Bowel problems are usually temporary. Since theRoux-en-Y gastric surgery is performed under general anesthesia, you maydevelop complications such as heart attack, stroke or blood clot.

Lifestyle

The chances of diarrhea will be decreased if you avoidgreasy food because you will not be able to absorb fat after the Roux-en-Ygastric surgery. Sugar and refined food can cause dumping syndrome, so it is suggestedto avoid such food or to be careful when you consume them. To treat this syndrome,you should eat, fish, meat or eggs. In order to avoid nutritional deficienciesyou must take multivitamin supplements, iron and calcium.

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